Daniel Vu Truong, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO.OP.61386574 Issued in WA

Practice address

9675 SE 36TH St Ste 100
Mercer Island, WA 98040-3723

Phone

(206) 275-2122

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1669036208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 SE 36TH ST STE 100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403723",
            "telephone_number": "206-275-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 SE 36TH ST STE 100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403723",
            "telephone_number": "206-275-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DANIEL",
        "middle_name": "VU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "WA",
            "license": "DO.OP.61386574",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "DO.OP.61386574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Myers Thomas, MD
• Kristen Thorsen, M.ED., LMHCA
• Thrifty Payless Inc
• Fredric Tobis, M.D.
• Translational Software
• Grace Valdez, ARNP
• Timothy R Vaughan, LMP
• Suzanne Vehrs
• Videll Healthcare Mercer Island, L.L.C.
• Rebekah Vigileos, NP

• Pediatrics Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.